Struggling to find a good care plan for a patient with COPD and Pneumonia.
Thoughts...Impaired Gas Exchange....but unsure of related to?
It's near the end of the semester. I just need some guidance. Looking for 2 diagnosis/care plans
for this patient.
grntea, i don't know about this student, but there are times that we have to make a care plan before we can assess. the nursing process is fine in theory and should be applied as a rule, however there are instances when you have to care plan for school or clinical before laying hands on the patient.
planned interventions aren't contractual. if upon assessment, you realize they are inappropriate...rewrite the plan. go with plan b! c! d! if you have a hypothetical patient or one you can't lay hands on yet, you have to plan anyway. assessment can be your first intervention. it's always the first thing on my care plan.
i firmly believe working up potential priority diagnoses on fictional patients is a fantastic way to learn!
copd is a disease of airway clearance, due to the reduced capacity of the lungs, destruction of the lungs, and impaired cough...and inability to clear the airway via efficient exhalation. unless you get this patient positioned well, drinking fluids as allowed, having productive coughs and clearing his airway on a good schedule (plus bronchodialators and mucolytics as ordered), unresolved airway issues will stand in the way of gas exchange.
add pneumonia too the mix and you have nice pools of secretions in the little alveoli, creating yet another airway blockade.
Last edit by KatePasa on Apr 22, '12
: Reason: edited: forgot something